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Organization

DONALD V MADUZIA OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD V. MADUZIA O.D. (OPTOMETRIST/PRESIDENT)
(630) 323-3202
Entity
Organization

Contact information

Practice address
203 RAILROAD AVE, CLARENDON HILLS, IL 60514-1301
(630) 323-3202
(630) 321-0512
Mailing address
203 RAILROAD AVE, CLARENDON HILLS, IL 60514-1301
(630) 323-3202
(630) 321-0512

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007789
IL
332H00000X
Eyewear Supplier
046.007789
IL

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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